Individual
DR. CHARLES EDGAR ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
460 N MAIN ST, SUITE 205, GLEN ELLYN, IL 60137-5176
(630) 469-4699
Mailing address
460 N MAIN ST, SUITE 205, GLEN ELLYN, IL 60137-5176
(630) 469-4699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
10/17/2024
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